Ines Buscher, Silvio van den Heuvel, Connie Timmermann, Nina Hahtela, Elin Taube, Odete

Araujo, Odeta Vitkuniene, Merce Comes

The sheepskin revival- An implementation study -

Topic and care problem

• Pressure ulcer (P.U.) is a care problem that has a negative influence on somatic and psychosocial aspects and related to lower HRQoL.

• Studies suggests prevalence rates in between 8-26%, from which 58% has severe UP.

• Costs 1.4-2.1 billion pounds in UK, mean excess LOS of 4.3 days

• Study also shows that low- tech foam mattresses and sheepskins are likely to be more effective for P.U. prevention. (McInnes, et al., 2012)

Improvement strategy (aim + target groups)

• Aim is to implement sheepskins and basic mattresses instead of special anti-PU-mattresses to prevent pressures ulcers in immobilized hospitalized patients.

• The target groups are:– the Pressure Ulcer Prevention nurses (PUP-nurse).– Management– Patients and family members

Implementation strategy

• McInnes, et al., 2012Target group barriers facilitators interventions evaluation

UPP-nurse Knowledge and attitudesHygiene aspectsFalse belief in technology

Decreasing prevalence of PUTime saving FeasibilityProfessional recognition

Education and peer-feedback

•Barriers and Facilitators´ Assessment Instrument •Questionnaire Work satisfaction and Competencies in EBP in PU prevention

Management Costs of hygieneWaste of investments (ADM)Education staff

It’s sheeper!!!Time savingHigher qualityReduced hospitalized days

Information state of the artBenchmarking

•Barriers and Facilitators´ Assessment Instrument •ROM (prevalence of PU, LOS and economic evaluation)

Patients and family members

Basic knowledge and attitudes.Hygiene aspectsFalse belief in technology

More comfortable than specialized mattresses.Optimize care

Information campagne (brochures, posters, etc.)Patient involvments

•HRQoL•Questionnaire Patient satisfaction

Grol, et al., 2007; Chaudoir et al. 2012; Harmsen et al. 20022002

Study design

• Cluster RCT (8 units randomized, 4 units do the information, education and peer group sessions, and 4 units do the information and brief education only) takes up 1 year approximately.

• N=X (will be decided after power analysis)

Time plan

Experimental Group

Baseline

Intervention 1

9 month Follow-up 1,

2, 3

Control Group

Baseline

Intervention 2

9 month Follow-up 1,

2, 3

Financial plan

1- Administrative costs……………………………3000€

(e.g. laptops, print documentation, etc)

*sheepskin is supported by company.

2-Team Research…………...............................104.000€

(e.g. statistical support, coordinator, researchers salary)

3- Dissemination……………………………………10.000€

(e.g. scientific meetings, articles, travels, conference,etc)

BUDGET: 117.500€

Questions?